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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 12:02 PM CDT
Next Update: Wednesday, April 24, 2024 4:30 PM CDT

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CAID-JEFFERSON, MANDY RENEE
Practice Address: OKLAHOMA STATE DEPT OF HEALTH WIC SERVICE
123 ROBERT S. KERR AVE. SUITE 1702
OKLAHOMA CITY OK 73102-6406

Address last updated on 9/29/2023
Phone #: (405) 426-8522
Fax #: (405) 900-7576
County: OKLAHOMA
License: 1447
Dated: 6/23/2006
Expires: 10/31/2024
Temp. Ltr. Issued: 6/8/2006
Temp. Ltr. Expires: 6/24/2006
License Type: Licensed Dietitian
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 0
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
OKLAHOMA STATE DEPT OF HEALTH WIC SERVICE
123 ROBERT S. KERR AVE. SUITE 1702
OKLAHOMA CITY OK 73102-6406

Phone #: (405) 426-8522
Fax #: (405) 900-7576

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